# NICHOLE TANYA BELLAND

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1881864817
- **Gender:** F
- **Credential:** PHARMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 0018697 | CO | — |
| 183500000X | Pharmacist | 15063 | WI | Yes |

## Other

- **Enumeration date:** 03/05/2008
- **Last updated:** 05/03/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0018697 | CO LICENSE | CO |
| 01 | — | 15063 | WI LICENSE | WI |